Laboratorio Clinico Tierras Nuevas Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

1149 Issued in PR

Legal business name

LABORATORIO CLINICO TIERRAS NUEVAS INC

Practice address

Carr 685 KM 2 9
Bo Tierras Nuevas Saliente
Manati, PR 00674

Phone

(787) 884-4676

Fax

(787) 884-4676

NPI assigned

May 6, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maricarmen Maldonado Roman, M.T.

Title

President

Phone

(787) 884-4676

Specialties & licenses 1

Addresses

Other names 1

• Laboratorio Clinico Tierras Nuevas Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Maricarmen Maldonado, MT

  • Clinical Medical Laboratory
  • Manati, PR
  • NPI 1972765923

  O20080613000166

  Same enrollment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380499200000",
    "number": "1194991422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2427",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006742427",
            "telephone_number": "787-884-4676",
            "fax_number": "787-884-4676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 685 KM 2 9",
            "address_2": "BO TIERRAS NUEVAS SALIENTE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-884-4676",
            "fax_number": "787-884-4676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORIO CLINICO TIERRAS NUEVAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-09-30",
        "status": "A",
        "authorized_official_last_name": "MALDONADO ROMAN",
        "authorized_official_first_name": "MARICARMEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-884-4676",
        "authorized_official_credential": "M.T."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "PR",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laboratorio Clinico Tierras Nuevas Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laboratorio Clinico Manati
• Laboratorio Clinico Manati
• Laboratorio Clinico Nazaret
• Laboratorio Clinico Nazareth
• Laboratorio Clinico Nazareth Inc
• Jonathan Laboy Aponte
• Emilio A Lafont-Perez, M.D.
• Francisco Lafontaine, M.D.
• Julia N Lafontaine, SW
• Brenda I Landan, PHARM.TECHNICIAN

• Clinical Medical Laboratory in Manati, PR
• Providers in Manati, PR by specialty
• Clinical Medical Laboratory in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.